SIOP PODC Cancer Control Workshop Registration
Name (Last, First) *
Your answer
Email Address *
Your answer
Country Where You Work: *
Your answer
Gender *
Occupation *
Number of Years in Practice (after completing training) *
Please enter number of years since training complete (numeric value); if still in training, please enter NA.
Your answer
Please select three cancer control discussion topics that would be of most interest to you during the workshop: *
Please select THREE items.
Does your country have a cancer control plan (for the whole country or part of the country)? *
If your country has a cancer control plan, are PEDIATRIC cancers included in your country’s cancer control plan?
Are PEDIATRIC cancers reported in a cancer registry in your setting? *
Please mark what you consider to be the top three priorities to improve cancer care in your country *
Please select only THREE primary priorities.
Please mark what you consider to be the main three barriers to improving PEDIATRIC cancer control in your country: *
Please select THREE primary barriers.
Thank you!
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy